Product Claim Form
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1PRODUCT CLAIM FORM
Graniti Fiandre
File # (Internal Use): _____________
▼SUBMITTED BY▼
Name: _________________________
Sales Rep. Name: ________________
Location: ________________________
Phone #: ________________________
Date Reported: __________________
▼CUSTOMER / SALES INFORMATION▼
Customer Acct. #: ________________________
End User / Job Name: ___________________________
Sold To: ________________________________
Sold To Address :_____________________________________
Purchase Order #: _______________ Date: _________
______________________________________
______________________________________
Invoice #: ________________ Date: _____________
Email:
▼PRODUCT DETAIL (fill in blanks OR attach box label)▼
Where is the material now?
Item Code:____________________ Shade #: _________________________
Jobsite
Distributor
Product Size:__________________ Product Description: _____________________
Other: ________________________________
▼INSTALLATION DETAIL▼
CHECK ONE
Date of Installation: ____________________
Not yet installed
Material in Inventory
Total Job Footage: _____________ Total Footage of Disputed Tile: ___________
Partial Installation
Product Application (Check):
Countertop
Floor
Wall
Other:
Job Site (Check all that apply):
Commercial
Residential
Interior
Exterior
Light Duty
Heavy Duty
Grout type (Check):
Sanded
Unsanded
Epoxy
Other:____________________
Job Site Visited By :_____________________
Date Visited: __________________________
▼CLAIM DETAIL▼
Problem Type (Check):
Shading
Mounting
Wedging(Out of Square)
Details of Samples Sent: ______________________________
Glaze Defect
Warpage(Bowing)
Sizing
Staining
__________________________________________________
__________________________________________________
Other (please describe): _____________________________
Pictures Sent?
Yes
No
Labels Sent?
Yes
No
If Additional Detail is Required Please Attach Letter
All Materials Must be Forwarded to Product Complaints Dept. together in ONE Package with this Form
▼RECOMMENDATIONS FOR RESOLUTION▼
Cost to Resolve:
Labor: _____________________
Final Cost or Estimate Only?
Material: ____________________
Freight / Shipping: ________________
Is a Release Form Necessary?
Yes
No
Total: _______________________
SHIP THIS FORM AND PACKAGE TO:
Issue Credit Memo / Check To: _________________________________________
StonePeak Ceramics/Production Facility
Attn: Product Claims Dept.
Customer Suggestion: _________________________________________________
238 Porcelain Tile Dr.
Crossville, TN 38555
Sales Person Suggestion: _______________________________________________
Email pictures to:
Final Resolution: ________________________________________
▼REQUIRED APPROVALS▼
Technical Director $0 to $999 _________________________________________
President / CEO $1000+ _______________________________________________
Credit Memo # ___________________
Date Issued: _________________
Initials: ________
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